PINEVILLE PEDIATRICS,PLLC
NPI 1679913651
Clinic/Center - Primary Care in Charlotte, NC

Active since July 05, 2013CLIA 34D2026814 · Waiver
10700 KETTERING DR, SUITE D, CHARLOTTE, NC 28226(704) 540-3036 Get Directions Write a Review

NPPES record last updated: July 5, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pineville Pediatrics,pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PINEVILLE PEDIATRICS,PLLC (NPI 1679913651) is a healthcare organization registered as a primary care in Charlotte, North Carolina and active in the NPI registry since July 2013. The organization holds a CLIA Waiver certificate valid through July 10, 2027 and lists Satya Jammalamadaka, Md, as its authorized official.

NPPES Registry Identity

NPI1679913651
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePINEVILLE PEDIATRICS,PLLC
Location Address10700 KETTERING DR, SUITE DCharlotte, NC 28226-3770
Mailing Address10700 Kettering Dr, Suite DCharlotte, NC 28226-3770
Organization SubpartNo
Authorized OfficialSatya JammalamadakaMd · (704) 540-3036
Enumeration DateJuly 5, 2013
NPI 1679913651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in NC · 201001747
10700 KETTERING DR, Charlotte, NC 28226

Other Identifiers 1

Medicaid5916594NC

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2026814

Pineville Pediatrics PLLC · Charlotte, NC
Active · expires Jul 10, 2027
CLIA Number34D2026814
Laboratory TypePhysician Office
Certificate Effective DateJuly 11, 2025
Certificate Expiration DateJuly 10, 2027
Laboratory DirectorSatya Jammalamadaka
Laboratory Phone(704) 540-3036
Laboratory LocationPineville Pediatrics PLLC10700 Kettering Drive Suite D, Charlotte, NC 28226
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
10700 KETTERING DR, SUITE A & B
CHARLOTTE, NC 28226
Dentist (General Practice)
10700 KETTERING DR
CHARLOTTE, NC 28226
Dentist (General Practice)
10700 KETTERING DR, SUITE A
CHARLOTTE, NC 28226
Dentist (General Practice)
10700 KETTERING DR, SUITE A
CHARLOTTE, NC 28226

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pineville Pediatrics,pllc's NPI number?

The NPI number for Pineville Pediatrics,pllc is 1679913651. It was assigned to this organization in the NPPES registry on July 5, 2013.

Where is Pineville Pediatrics,pllc located?

Pineville Pediatrics,pllc is located at 10700 Kettering Dr Suite D, Charlotte, NC 28226. The listed phone number is (704) 540-3036.

What is Pineville Pediatrics,pllc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Pineville Pediatrics,pllc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2026814) is associated with this NPI, valid through July 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pineville Pediatrics,pllc was last updated on July 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.